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1699708545
GINA BOOMERSHINE
ROSEVILLE, CA
NPI
1699708545
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Former Name
GINA REIF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA 38883)
Enumeration Date
2006-07-07
Last Update Date
2013-06-12
Business Address
-- GINA BOOMERSHINE PT
2270 DOUGLAS BLVD STE 216
ROSEVILLE, CA 95661-4239
Phone number: 916-782-1212
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Mailing Address
-- GINA BOOMERSHINE PT
2270 DOUGLAS BLVD STE 216
ROSEVILLE, CA 95661-4239
Phone number: 916-782-1212
Copy
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